Creases under one eye - will Botox help? (Photo)

Thank you for your question. What you’re noticing is very common, especially when smiling—the muscles around the eyes can create fine lines or an extra crease as they contract.

Botox can help, but only in certain situations.
If the crease is caused mainly by muscle movement when you smile, a small amount of Botox placed carefully around the outer eye can soften that contraction and reduce how much the crease forms.

However, if the crease is due to skin laxity, volume loss, or a natural fold, Botox alone may not fully correct it. In those cases, other treatments may work better, such as:

Under-eye skin boosters (like HA micro-fillers) to smooth and hydrate the area

Light under-eye filler to support the tissue if there's slight hollowing

Laser or RF treatments to improve skin texture and elasticity

Most of the time, a combination approach gives the most natural result.

The good news is that this type of crease is very treatable, and even subtle adjustments can make a noticeable difference when you smile.

Best way to treat under eye hollowness is with placement of hyaluronic acid fillers which increase volume and keep the area hydrated. A small injection of botulinum, AKA Botox can help relax the depressor muscle and treat what's commonly referred to undereye jellyrolls.

Hello, so this seems largely an animational issue that arises when you smile - most likely due to some redundant loose skin. Also notice that you have slightly more muscle tone on the left lower eyelid causing the left eye to look "smaller" when you smile. Would consider retexturizing the skin with laser resurfacing or a series of chemical peels to tighten and smooth the skin out. Can consider a small amount of botox to the left lower lid orbicularis muscle to soften the tone there as well. Please see oculoplastic surgery for best results.

At least from the photo provided there seems to be some creasing under both eyes, although under one more so than the other. Since these creases are smile-related, microdroplets of Botox properly injected would indeed be a possible treatment. I have personally been injecting Botox for this purpose for over three decades with gratifying results. You would be wise to consult with a board certified cosmetic dermatologist injection expert. Hope this helps and best of luck.